Key result
Mathematical modeling of cardiovascular dynamics using MIMO systems demonstrated that hypertensive patients have less inertia of blood flow and reduced arterial compliance compared to normotensive patients.
Observational (n=25)
Applying Modern Control Theory and MIMO systems provides an alternative method to analyze cardiovascular dynamics, specifically arterial wall compliance and blood flow inertia in hypertension.
MIMO systems allow us to work in the state-space without restrictions. The use of the Modern Control Theory let to specify new behaviors of complex structures. We describe the dynamics of the cardiovascular system by finding the input-output relationships in the state-space of a functional cardiac model, based on state equations and controllability criteria of control theory. The use of the transfer matrix applied to dynamic systems with many inputs and outputs allows addressing the treatment of cardiovascular dynamics with a different perspective. Based on the controllability criteria of dynamic systems we present an alternative method of analyzing the state of the arterial wall as a function of compliance. The unit step response of the multiple-input multiple-output system model illustrates the damping effect of the arterial wall to the pulsatility of the heart. In addition to verifying that hypertensive patients have less inertia of blood flow, it established that the internal controllability of the system can be affected as a function of input-output correlations.
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Picaza et al. (2021) conducted an observational in Hypertension (n=25). Mathematical modeling using MIMO systems and transfer matrix vs. Normotensive patients was evaluated on System controllability and stability (control pole, compliance, inertia). Mathematical modeling of cardiovascular dynamics using MIMO systems demonstrated that hypertensive patients have less inertia of blood flow and reduced arterial compliance compared to normotensive patients.
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